Follicular proctocolitis and neuromatous hyperplasia with lymphogranuloma venereum
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Cited by (39)
Delayed diagnosis of colorectal sexually transmitted diseases due to their resemblance to inflammatory bowel diseases
2018, International Journal of Infectious DiseasesCitation Excerpt :Although the clinical, endoscopic, and pathological features of STD-associated proctitis and IBD appear to be indistinguishable, there may be some distinguishing features. While in LGV the rectum is uniformly involved and more proximal segments of the colon are usually spared, in Crohn’s disease the colonic distribution is much more varied (de la Monte and Hutchins, 1985). However, the overlap between the two diagnoses is noteworthy, and increased mucosal chronic inflammation, granuloma, and fibrosis may be present in both.
Diarrhea in the Immunocompromised Patient
2012, Gastroenterology Clinics of North AmericaCitation Excerpt :Clinical presentation of nontyphoid Salmonella infection in solid-organ transplant recipients, including febrile enteritis and bloodstream infection, differs from that seen in immunocompetent hosts, where Salmonella usually causes nonfebrile gastrointestinal infection.48 Ulcerative rectocolitis mimicking the clinical picture of Crohn's disease in HIV-infected patients may rarely also be caused by gut mucosal infection owing to lymphogranuloma venerum caused by serovars L1 to L3 of Chlamydia trachomatis, which is currently reemerging as a sexually transmitted disease.5,56,57 Diagnosis of bacterial diarrhea may easily be established by stool cultures and blood cultures owing to the high rate of bacteremia in these patients.8
A practical approach to colitis
2011, Diagnostic HistopathologyCitation Excerpt :On resection specimens, LGV can be histologically similar to CD with extensive thickening and fibrosis of the bowel wall. However, LGV shows a predominance of follicular lymphohistiocytic and plasma cell infiltrates in the submucosa, muscularis propria, and serosa with neural hyperplasia in the submucosal and myenteric plexuses, and lesion distribution tends to be limited to the rectum.18 T. pallidum is the causative agent of syphilis and an underdiagnosed cause of proctitis.
Bacterial and rickettsial infections
2009, Weedon's Skin Pathology: Third EditionInfectious Disorders of the Gi Tract
2009, Surgical Pathology of the GI Tract, Liver, Biliary Tract and PancreasInflammatory and Neoplastic Disorders of the Anal Canal
2009, Surgical Pathology of the GI Tract, Liver, Biliary Tract and Pancreas
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Received from the Autopsy Pathology Division of the Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland.